AHRQ Patient Safety Network ► Integrating Human Factors and System Safety Into the Event Review Process.

AHRQ Patient Safety Network



Integrating Human Factors and System Safety Into the Event Review Process.

National Center for Human Factors in Healthcare. March 26–27, 2015; Medstar Washington Hospital Center, Washington, DC.

Acceptance of root cause analysis as an improvement strategy has been mixed, despite mandates requiring that root cause analyses be performed following sentinel events. In this workshop, participants will learn tactics to investigate serious safety events along with practical skills to enhance the applicability of the root cause analysis process in their organizations. Dr. Terry Fairbanks is a featured speaker.

Conference information 

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